| NPI | 1053285841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV DP00944299) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 509344) |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |